Mark J Warner, DDS, Inc

Primary specialty

DentistTaxonomy code 122300000X

License

41693 Issued in CA

Legal business name

MARK J WARNER, DDS, INC

Practice address

1291 Oliver Rd
Fairfield, CA 94534-3468

Phone

(707) 422-7633

NPI assigned

Aug 25, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Mark J Warner, DDSNPI 1003188202

Title

Dentist/Owner

Phone

(707) 422-7633

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mark James Warner, D.D.S.

  • Dentist
  • Fairfield, CA
  • NPI 1003188202
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1811004682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1291 OLIVER RD",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945343468",
            "telephone_number": "707-422-7633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1291 OLIVER RD",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945343468",
            "telephone_number": "707-422-7633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK J WARNER, DDS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WARNER",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "707-422-7633",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "41693",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Fairfield, CA
• Providers in Fairfield, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.